Mammography is one of the screening tool that using x-ray dose to detect breast cancer at early stage for women older than 40 years old. By performing mammography screening annually, it can decrease mortality from breast cancer. Pain and anxiety often a hindrance to the rate of intake of mammography screening among the women. A systematic review was conducted to know the association of music with anxiety and pain on patients during mammography screening. Review identification was performed through a database search on MEDLINE and CINAHL, and 2 qualified studies were selected. The keyword used is “music therapy”, “anxiety”, ‘pain”, and “mammography”. A total of 2 articles showed the use of music among women who undergoing mammography screening. The previous studies showed that the use of music can decrease level of pain and anxiety among women during mammography screening. Thus, applying music during the screening should be implemented to encourage women for annual mammography screening.

Anxiety was the barrier mostly chosen by women for not performing mammography examination. Music was perceived as an effective method in reducing these barriers. Thus, this study was done to investigate how music would influence anxiety level among women undergoing mammogram screening. A cross-sectional descriptive study was conducted at randomly selected private hospitals around Klang Valley. The ’State-Trait Anxiety Inventory’ form was used to measure the level of anxiety. Respondents were categorized into two groups, which are control (no music) and experimental (with music) groups. Descriptive analysis was used to determine the anxiety level and T-test analysis were used to compare the anxiety level between both groups. A total of 60 respondents participated in this study in which 30 (50.0%) were in a control group and 30 (50.0%) were in the experimental group. Mean age of respondents were 53.5 (±12.7) years. The anxiety level is high in women who underwent mammography with no music (60.0%) as compared those with music (53.3%), although the difference is not significant (p>0.05). Music intervention has potential in reducing anxiety level during mammography examination.